摘要
目的分析药师对不合理住院医嘱的干预情况及影响因素,提出整改措施,以促进临床合理用药。方法通过实时干预法对医院2015年住院医嘱进行综合审查及整理分析,并通过鱼骨图分析法查找影响因素,制订针对性的整改措施。结果药师共干预不合理住院医嘱2 059条,其中有效干预1 789条,有效干预率为86.89%。不合理医嘱类型主要包括用法不合理(30.16%)、用量不合理(26.32%)、联合用药不合理(5.00%)等。结论遏制不合理用药需要"社会-医院-患者-药师-医生-护士"六位一体的共同努力。医务人员应加强交流协作,取长补短,聚众合力。药师应提高自身专业素质,综合考虑患者因素和药物因素,不断提升医嘱干预质量,确保患者用药的安全、合理、有效。
Objective To analyze the irrational medical orders intervented by pharmacists and the related influencing factors, then to propose solutions for promoting rational clinical drug use. Methods The medical orders of inpatients in 2005 were comprehensively evaluated and analyzed through the real-time intervention method, and the related influencing factors were searched by fishbone diagram, then the pertinence measures were formulated. Results 2 059 cases of irrational medical orders were intervented totaly, including 1 789 effective interventions, with an effective intervention rate of 86.89%. The irrationgal medical orders mainly included unreasonable usage （30.16%）, unreasonable dosage （26. 32% ）, improper drug combination （5.00%）, etc. Conclusion Eliminating irrational drug use needs a work pattern of ＂Society - Hospital - Patients - Pharmacists - Doctors - Nurses＂ Collaboration. Health providers should strengthen communication and cooperation while pharmacists are required to enhance professional knowledge and comprehensively take patients＇ factors and medical factors into consideration to improve interventionquality and to ensure a safety, reasonable and effectiveclinical medication.
出处
《中国药业》
CAS
2016年第15期76-80,共5页
China Pharmaceuticals
关键词
合理用药
住院医嘱
干预
分析
措施
rational drug use
medical orders
intervention
analysis
measures
